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Director - Healthcare Risk and Claims Management

Rutgers University
United States, New Jersey, Newark
Jan 16, 2025
Position Details

Position Information


Recruitment/Posting Title Director - Healthcare Risk and Claims Management
Job Category Staff & Executive - Executive
Department UFA-Healthcare Risk & Claims
Overview
Rutgers, The State University of New Jersey, is a leading national research university and the State of New Jersey's preeminent, comprehensive public institution of higher education. As one of the largest employers in the State of New Jersey, Rutgers University is committed not only to the students and the State that we serve, but also to the faculty and staff who work on our campuses. Ranked in 2022 by Forbes as a top 100 best large employer in America, Rutgers' commitment to its employees includes maintaining and fostering a safe, diverse, and respectful workplace environment, creating employment opportunities for our nation's military veterans, and ensuring accessibility and accommodation for individuals with disabilities.
University Finance and Administration ( UFA) advances Rutgers' strategic priorities through the management of all central financial, administrative, and student information systems and processes. We supply the university's financial community the professional guidance, services, tools, and information needed to make the informed decisions that contribute to Rutgers' standing as an academic, health, and research powerhouse. We are deeply committed to our guiding principles and the core values that are critical for the long-term strategic growth of our division and the university. For more information, please visit https://finance.rutgers.edu/.
Posting Summary
Rutgers, The State University of New Jersey is seeking a Director - Healthcare Risk and Claims Management for the department of Healthcare Risk and Claims Management. The Director - Healthcare Risk and Claims Management will work under the direction of the Chief Healthcare Risk Officer ( CHCRO) in the oversight of healthcare risk management activities of Rutgers, The State University of New Jersey (Rutgers).

Among the key duties of the position are the following:

  • Handles overall management, supervision, and ultimate decision making with respect to professional liability claims and litigation for Rutgers.
  • Coordinates insurance coverage and risk financing for the three participating entities in the New Jersey Self-Insurance Retention Fund, with particular emphasis upon the University's professional liability program of self-insurance and its commercial excess insurance placement.
  • Maintains ongoing communication with excess insurer claims representatives concerning the catastrophic adverse events, case development, and litigation strategy.
  • Interfaces with legal defense counsel, the Attorney General of the State of New Jersey, the Rutgers Office of General Counsel, and the General Counsels of the other participating entities to administer the clinical risk management program, manage and analyze risk management data, and conduct and arrange for healthcare risk management education programs.
  • Coordinates with counterparts at RWJ Barnabas Healthcare regarding healthcare risk management associated with the Medical Group of RWJ Barnabas Health and Rutgers Health.
  • Participates in the Rutgers Enterprise Risk Management Processes with respect to health care risk management and patient safety.
  • Protects the assets of the organization by controlling and minimizing losses.
  • Assists RBHS clinicians in responding to adverse events and patient complaints, in collaboration with OGC and UEC.
  • Assists RBHS clinicians in responding to licensing boards, in collaboration with OGC and UEC.
  • Works closely with the CHCRO to be a strategic partner with the Executive Vice President for Finance and Administration and University Treasurer, the Executive Vice President for Health Affairs, the Executive Director of Risk Management; the Senior Vice President and General Counsel, and other senior management in providing key leadership and coordination of healthcare risk management within Rutgers.
  • Promotes a strong teamwork approach to augment the partnership with the management of the joint Medical Group.

Position Status Full Time
Hours Per Week
Daily Work Shift
Work Arrangement
FLSA Exempt
Grade 09
Position Salary
Annual Minimum Salary 120741.00
Annual Mid Range Salary 152826.00
Annual Maximum Salary 184911.00
Standard Hours 37.50
Union Description Admin Assembly (MPSC)
Payroll Designation PeopleSoft
Benefits
Rutgers offers a comprehensive benefit program to eligible employees. For details, please go to http://uhr.rutgers.edu/benefits/benefits-overview.
Seniority Unit
Terms of Appointment Staff - 12 month
Position Pension Eligibility ABP
Qualifications


Minimum Education and Experience

  • Bachelor's degree from an accredited college/university or an equivalent combination of education and/or experience.
  • Five (5) years of experience in healthcare risk management and professional liability claims management.

Certifications/Licenses
Required Knowledge, Skills, and Abilities

  • Unquestioned integrity and ethics.
  • Strong computer skills consisting of MS Office Suite.

Preferred Qualifications

  • J.D. Degree accompanied by material experience in healthcare risk management and professional liability claims management(as described under Requirements), or a Master of Science in Jurisprudence accompanied by material experience in healthcare risk management and professional liability claims management (as described under Requirements).
  • Certified Professional in Healthcare Risk Management, Chartered Property Casualty Underwriter (CPCU) and/or Associate in Risk Management designations.
  • Insurance and/or Risk Management training under auspices of professional organizations such as Risk and Insurance Management Society or the American Society of Healthcare Risk Management.

Equipment Utilized
Physical Demands and Work Environment
Special Conditions
Posting Details


Posting Number 25ST0113
Posting Open Date 01/16/2025
Special Instructions to Applicants
Regional Campus Rutgers University-Newark
Home Location Campus Rutgers University-Newark
City Newark
State NJ
Location Details
Pre-employment Screenings
All offers of employment are contingent upon successful completion of all pre-employment screenings.


Immunization Requirements

Under Policy 100.3.1 Immunization Policy for Covered Individuals, if employment will commence during Flu Season, Rutgers University may require certain prospective employees to provide proof that they are vaccinated against Seasonal Influenza for the current Flu Season, unless the University has granted the individual a medical or religious exemption. Additional infection control and safety policies may apply. Prospective employees should speak with their hiring manager to determine which policies apply to the role or position for which they are applying. Failure to provide proof of vaccination for any required vaccines or obtain a medical or religious exemption from the University will result in rescission of a candidate's offer of employment or disciplinary action up to and including termination.



Affirmative Action/Equal Employment Opportunity Statement
It is university policy to provide equal employment opportunity to all its employees and applicants for employment regardless of their race, creed, color, national origin, age, ancestry, nationality, marital or domestic partnership or civil union status, sex, pregnancy, gender identity or expression, disability status, liability for military service, protected veteran status, affectional or sexual orientation, atypical cellular or blood trait, genetic information (including the refusal to submit to genetic testing), or any other category protected by law. As an institution, we value diversity of background and opinion, and prohibit discrimination or harassment on the basis of any legally protected class in the areas of hiring, recruitment, promotion, transfer, demotion, training, compensation, pay, fringe benefits, layoff, termination or any other terms and conditions of employment. For additional information please see the Non-Discrimination Statement at the following web address: http://uhr.rutgers.edu/non-discrimination-statement


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